High pacemaker implantation rate following "cardiogenic neurology".

This paper gives data on symptomatic patients with bradycardia found not at random but as the result of greatly expanded facilities for recognition of arrhythmias. The incidence of patients with symptomatic bradycardia was very high. Most patients had intermittent arrhythmias and diagnosis was often only possible after long-term ECG screening. Symptoms were as severe, and relief of symptoms with treatment was as good, as in pacemaker-treated patients described by others. Our conclusion is that indications for arrhythmia screening should be increased, as the diagnosis and treatment are very worthwhile. We refer to the systematized active diagnosis and treatment of arrhythmias in patients with cerebral symptoms as cardiogenic neurology.